| NPI | 1790217511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR0064210) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WY 12814A) |
| 207P00000X Emergency Medicine (Licence: CA A172420) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2022-05-05 |